Information Collection

Scientific Workforce Diversity Seminar Series (SWDSS): March 13 Seminar Registration Form

IC 264767 under ICR 202210-0925-007 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Registration Scientific Workforce Diversity Seminar Series (SWDSS): March 13 Seminar Registration Form	Form
1 Registration COSWD March 2024 SWDSS_Zoom_ Registration Form_01.19.24_Clean.docx	Form
0925-0740 Template exp. 9.2025_1_March 13 SWDSS Registration Form.docx Template	IC Document
Sample Dissemination Language from Previous Seminar.docx Correspondence Language	IC Document

IC Title:

Scientific Workforce Diversity Seminar Series (SWDSS): March 13 Seminar Registration Form

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service

FR Citation: 67 FR 60742

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		01/29/2024
Correspondence Language		01/29/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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